which one fellowship should I take?

[Veryotaku999]

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Hello!
I am an italian radiology so sorry for my english.
In Italy we do not have a post-residency fellowship but we have to choose (is not mandatory but
preferable) what sub-specialitation we want untertake in the last 2/3 years of residence ( on 5 years totally).

I'm a very "unusual" radiologist, i love to work in team and with other specialist in the hospital, speak with the patiens and "do things" (for example i love sonography and traditional Double-contrast GI exams) and my worst nightmare is to see me in the future alone in a a dark room ( even worst in my house via tele-radiology) all day.
So i think that Mammo and IR suit the best for me.

I have however some concerns:
- For mammo: 1- i cant predict the future but i read a not so bright one for mammo (one of the first target of bigdata/machine learning due to the small organ volume of examination, some example: CAD and the new automatic breast sonography) 2- i am afraid could be a little boring and ripetitive 3- high sue risks.

- For IR : 1- i do not see clearly its position in medical field in the future, i'm afraid that all surgical field (but also clinics, like cardiologist in the past) will switch in mini-invasive and so a lot of turf battles (but the other field have their own patients on their sides) 2- i will lose my diagnostic skills (in italy a hybrid DR/IR is extremely rare)

Any suggestions? I miss some fellow that maybe are more suitable for me?
Sorry for my long post.

 

[colbgw02]

Your English is quite good. It's certainly better than my Italian.

I do not think that you are missing much. You have definitely identified the two radiology subspecialties with the most patient contact, and you have a good grasp of some of those fields' challenges. The only other option that I can think of is training in body (i.e. GI/GU) or MSK in programs that heavily emphasize procedures. You could then advertise yourself as an "interventionalist MSK radiologist", if you will. However, that's not a very common route to take.

All that said, I would not let your reservations about breast imaging or IR stop you. I don't think the forecast for those areas is so gloomy that you should look elsewhere, particularly if they check all of the boxes that make you happy.

Buona fortuna!

 

[Veryotaku999]

Your English is quite good. It's certainly better than my Italian.

I do not think that you are missing much. You have definitely identified the two radiology subspecialties with the most patient contact, and you have a good grasp of some of those fields' challenges. The only other option that I can think of is training in body (i.e. GI/GU) or MSK in programs that heavily emphasize procedures. You could then advertise yourself as an "interventionalist MSK radiologist", if you will. However, that's not a very common route to take.

All that said, I would not let your reservations about breast imaging or IR stop you. I don't think the forecast for those areas is so gloomy that you should look elsewhere, particularly if they check all of the boxes that make you happy.

Buona fortuna!

Grazie mille, anche a te!